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[Inadvertent globe perforation during peribulbar anaesthesia and sedation with propofol]

E Schaack1, B Diallo, J-M Devys

  • 1Département d'anesthésie-réanimation chirurgicale, fondation ophtalmologique Adolphe-de-Rothschild, 25-29, rue Manin, 75019 Paris, France.

Annales Francaises D'Anesthesie Et De Reanimation
|October 18, 2005
PubMed

Insights

Sedation with propofol for peribulbar block can cause spontaneous patient movement, leading to globe perforation during ocular surgery. This case highlights a rare but serious complication of anesthetic management in eye procedures.

Area of Science:

  • Ophthalmology
  • Anesthesiology

Background:

  • Sedation is commonly employed to manage patient anxiety during peribulbar blocks for ophthalmic surgeries.
  • Propofol is frequently used for sedation due to its rapid onset and short duration of action.

Observation:

  • A case report details a patient undergoing a peribulbar block for ocular surgery.
  • The patient experienced a spontaneous movement immediately following propofol injection.

Findings:

  • This spontaneous movement resulted in a globe perforation, a severe intraoperative complication.
  • The event underscores a potential risk associated with sedative agents during regional anesthesia for eye surgery.

Implications:

  • Anesthesiologists and ophthalmic surgeons should be aware of the risk of patient movement during peribulbar blocks, even with sedation.
  • Strategies to minimize patient movement and manage potential complications are crucial for patient safety in ocular surgery.

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